NPI 1194938373
Dennis Alan Ingram, STATELICENSEDOPTIC
Practice location
- Address
- 1317 Joshua Ave Suite H, Parker, AZ 85344
- Phone
- (928) 669-6971
- Fax
- (928) 669-8901
- Mailing address
- 828 Crystal View Dr, Parker, AZ 85344
Registered specialties
Optician
Primary
Registry record
- NPI
- 1194938373
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 May 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.